Individual
TODD SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0711
(409) 772-5153
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-0711
(409) 772-5153
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
4301085606
MI
2085R0001X
Radiation Oncology Physician
Primary
P0305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216995503
—
TX
01
—
216995504
MEDICAID CSHCN
TX
Enumeration date
05/10/2007
Last updated
02/06/2019
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